Organization Active NPI

VPMD Healthcare & Wellness Services PLLC

  • Internal Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1477027100
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VPMD HEALTHCARE & WELLNESS SERVICES PLLC
Practice address
153 Northridge
New Braunfels, TX 78132-2556
Phone
(832) 475-4115
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vladimir Paez, MDNPI 1710202353
Title
Owner/Manager
Phone
(832) 475-4115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

153 Northridge
New Braunfels, TX 78132-2556

Mailing address

153 Northridge
New Braunfels, TX 78132-2556
Phone (832) 475-4115

Other identifiers 1

IdentifierTypeStateIssuer
1710202353MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200324002295 TX Part B Supplier - Clinic/Group Practice 1951739044 Receives reassigned benefits from 5 practitioners
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1477027100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 NORTHRIDGE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322556",
            "telephone_number": "832-475-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 NORTHRIDGE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322556",
            "telephone_number": "832-475-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VPMD HEALTHCARE & WELLNESS SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "832-475-4115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710202353",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.